STEPHANIE M MUDD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213903

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MUDD

Business Name

STEPHANIE M MUDD

Original Issue Date

10/05/2012

Effective Date

02/04/2013

Expiration Date

03/31/2014

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014